Organization
GETBEHEAD ENTERPRISES INC.
Active
Other names
Powersource Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GETBEHEAD D.C. (PRESIDENT)
(504) 473-0636
Entity
Organization
Contact information
Practice address
1907 N ANDREWS AVE, WILTON MANORS, FL 33311-3914
(954) 567-1924
Mailing address
1907 N ANDREWS AVE, WILTON MANORS, FL 33311-3914
(954) 567-1924
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002999900
—
FL
01
—
DN380Z
MEDICARE #
FL
Enumeration date
07/09/2015
Last updated
07/09/2015
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